Tumour of the vermiform appendix strangulated in the femoral hernia: a case report

Andrzej Żyluk, Filip Fliciński, Tomasz Błaszkowski, Maciej Romanowski


Strangulation of the vermiform appendix into the femoral hernia sac (de Garengeot hernia) is very rare. This article presents a case of a 63-year-old woman with this kind of hernia which contained a strangulated tumour of the appendix. The patient presented to the hospital with a 3-day-long history of a palpable lump in the right groin. She had no other significant complaints, but USG imaging showed suspicion of the strangulated femoral hernia containing a bowel. The patient was operated on. As the tumour was not suitable to remove via groin incision, laparotomy was performed, followed by a release of the appendix with the tumour and their resection together with a fragment of the caecum. The postoperative course was uneventful, and histological examination showed appendiceal mucinous neoplasm with high-grade dysplasia. After oncological consultation, the patient underwent prophylactic right hemicolectomy.


strangulated femoral hernia; de Garengeot hernia; tumour of the vermiform appendix; appendiceal mucinous neoplasm with high-grade dysplasia

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DOI: https://doi.org/10.21164/pomjlifesci.856

Copyright (c) 2023 Andrzej Żyluk, Filip Fliciński, Maciej Błaszkowski, Maciej Romanowski

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/